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Delivering Impact and Value Covid-19 Healthcare Coalition Members Report

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Delivering Impact and Value Covid-19 Healthcare Coalition Members Report ARMY CAPT. BRENDAN MACKIE, DELAWARE ARMY NATIONAL GUARD DELIVERING IMPACT AND VALUE COVID-19 HEALTHCARE COALITION MEMBERS REPORT JULY 2020 MAKING A DIFFERENCE TOGETHER In mid-March, the COVID-19 Healthcare Coalition was established as a coordinated public-interest, private-sector response to the COVID-19 pandemic, convening healthcare organizations, technology firms, nonprofits, academia, and startups. Today, Coalition contributors continue to actively work together on strategies to preserve the healthcare delivery system and protect people. Thank you for your incredible While we have a long way to go before this crisis is over, the Coalition’s close to 1,000 member organizations and thousands of staff remain committed DELIVERED support and the impact you are to making a difference together. 675,000 masks What do you do first when confronted with challenges on so many fronts? The Coalition worked quickly to build a rapid response to immediate crises VALIDATED N95 mask making during this worldwide crisis. like providing personal protective equipment (PPE) for healthcare workers. At the same time, we stood up the critical infrastructure to enable collaboration decontamination and shared analytics. And in the roughly four months following our formation, strategies You are graciously sharing your time, the Coalition has made an impact on the COVID fight, creating resources and tools that can evolve and endure as this challenge continues. relationships, and knowledge to DEVELOPED PPE SUPPORTING THE COVID-19 SUPPLY CHAIN demand model Leveraging the Coalition’s network, we identified quality manufacturing sources, preserve the healthcare delivery negotiated low prices, worked around numerous export challenges, and were able to deliver 675,000 masks to over 60 locations during a time when 50% CONNECTED of hospitals in New York City were running out of N95 respirators. Through the suppliers to buyers system and help protect people. partnership of the charity Masks4America, these masks went to hotspots including Illinois, Virginia, Maryland, Louisiana, Michigan, Washington, D.C., and Puerto Rico. The Coalition also helped to accelerate production of 10,000 low cost ventilators, Together, we’re making a difference. and aggregated a marketplace catalog to provide buyers the simplest possible access to the many PPE marketplaces that have emerged across the country. Where the supply chain wasn’t able to deliver resources, we also provided guidance to help healthcare systems with the difficult choices around alternatives and reuse. Dr. John Halamka The Coalition helped get the word out quickly on the best possible methods for sanitizing N95 masks for multiple reuse, and published “how-to” guidance on President of Mayo Clinic Platform available N95 respirator decontamination strategies. Stanford University, with support from other organizations, is piloting an N95 alternative with health systems Dr. Jay Schnitzer across the country—a modifiedsnorkel mask that filters better and is more cost Chief Medical | Technology Officer at MITRE effective than the original N95 masks. As part of the Coalition’s efforts to accelerate new technologies that could promote reuse and replenishment of resource-limited PPE, we engaged with a UV curing company called INPRO Technologies. With assistance from Coalition scientists, an open source ultraviolet germicidal irradiation design is progressing through FDA emergency use authorization. To help decision makers start to prepare for the challenges ahead, members including Cardinal Health, GHX, LLamasoft, LogicStream Health, MITRE, and Sodexo Healthcare Services came together to develop a PPE and pharmaceuticals demand model. State and local leaders are using this demand model to determine if current PPE stocks are sufficient to satisfy expected demand. 1 INFORMING COORDINATED SOCIAL POLICIES Informed by the National Governors Association Roadmap to Recovery, A landscape analysis has been completed to outline the potential use cases, the Coalition team developed and is supporting ongoing development of end-to-end process, stakeholders, and technical challenges associated with the COVID-19 Decision Support Dashboard. wastewater-based epidemiology (WBE) for COVID-19. The Coalition is collaborating with Oak Ridge Associated Universities, the Thurgood Marshall College Fund, This tool synthesizes large amounts of complex, essential data into easy-to-use and Hispanic Association of Colleges and Universities to connect universities key findings for public and private-sector leaders navigating the “reopening” interested in launching WBE programs with leading experts at Yale University, of communities and businesses. It provides a structured understanding of how a Rice University, and Arizona State University. We are also partnering with the DEVELOPING state or county is performing by adding red-yellow-green indicators for key areas. Start Coalition, to identify partners to launch pilot projects for using WBE the COVID-19 Additional data dashboards from the Coalition provide understanding of the in vulnerable communities. Decision Support secondary effects of key decisions including a critical dashboard focused on identifying vulnerable populations—all free, and built with publicly available Dashboard data and models. Topics covered include NPI implementation, dis/mis information, hotspot detection, short-term forecasting, and regional analysis and comparison. TM PROVIDING insights These dashboards were developed with input, partnership, and data from many members, including: on the impact of • Esri social policies • Jataware • LLamasoft • SafeGraph PROMOTING • Surgo Foundation innovation in testing • Tableau and contact tracing Coalition members have come together to understand and support many of the testing and contact tracing needs and solutions that are emerging to support public and private sector leaders. One of the tools presented to the coalition is Sara Alert™, a standards-based, open source tool that automates the process of public health monitoring and reporting of individuals exposed to or infected with COVID-19. Sara Alert was developed by MITRE in partnership with national public health organizations, and is currently being deployed in close to 20 jurisdictions, including Pennsylvania, Vermont, Virginia, Arizona, and Puerto Rico. COVID Aware is a no-cost automated proximity notification app to addressone of the biggest gaps in contact tracing: identifying exposure from strangers. COVID Aware provides a free, open-source tool developed for public health agencies to tailor for their own needs and offer to their residents. It frees up critical personnel for other aspects of disease mitigation and response and builds in strong protections for privacy, information security, and anonymity through a reliance on MIT-developed Private Automated Contact Tracing (PACT) protocol using Apple | Google Exposure Notification Service technology. 2 3 POWERING DATA-DRIVEN CLINICAL INSIGHTS Leading companies in health data analytics and electronic health record vendors, including Allscripts, athenahealth, Cerner, Epic, Health Catalyst, and MITRE, are working together to investigate potential therapeutics to prevent and treat COVID-19. The Coalition has created a de facto COVID-19 data standard to facilitate rapid sharing of outcomes and federated analytics on the effectiveness of treatments such as remdesivir, convalescent plasma, and famotidine as well as reinfection rates. UNLOCKING Coalition members have led the nation’s efforts to pursue research and treatment with blood plasma from convalesced COVID-19 patients. Members of the coalition large-scale analytics including Mayo Clinic, Michigan State University, Amazon, and others are supporting for COVID-19 the country’s largest medical study on COVID-19 patients receiving convalescent plasma treatments. This was followed up with a national plasma donation campaign (The Fight Is In Us) supported by the CoVIg-19 Plasma Alliance, American Association ADVANCING of Blood Banks, American Red Cross, Grifols, Bill and Melinda Gates Foundation, Mayo Clinic, Michigan State University, Uber, and many more. The website was convalescent developed by Coalition members Microsoft and MITRE, and was promoted by plasma research celebrities, including Dwayne “The Rock” Johnson, Helen Mirren, Samuel L. Jackson, Awkwafina, Ken Jeong, Daniel Dae Kim, and Ryan Tedder. COLLABORATING on As telemedicine has surged during COVID-19, we are rapidly sharing insights, educating on waivers and policy changes, and collectively studying the scope best practices and and scale of this unprecedented growth in remote and virtual healthcare. protocols Our weekly Executive Forums convene leaders in the telemedicine ecosystem to solve real-time challenges in expanding telehealth rapidly, enabling health systems to expand medical capacity and patient care during the outbreak. Additionally, Coalition members have launched the COVID-19 Telehealth Impact Study to track the use of telehealth using claims data and surveys of providers and patients. Collaborators include provider organizations, Change Healthcare, The American Medical Association, The American Telemedicine Association, The Massachusetts Health Quality Partnership, The Digital Medicine Society, and others. Finally, Coalition members continue to work collaboratively to understand and address disparities and treat vulnerable populations using virtual modalities, connecting patients to care virtually when and where they need it most. Our weekly COVID-19
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